Evidence map›Paper›PMID 34636024›Full record

ArticleApplied health economics and health policy2022

Economic Consequences of Anti-HCV Treatment of Patients Diagnosed Through Screening in Italy: A Prospective Modelling Analysis.

Andrea Marcellusi, Claudia Simonelli, Francesco S Mennini, Loreta A Kondili, PITER Collaborating Group available at http://www.progettopiter.it

Abstract read
In one paragraph

Article in Applied health economics and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Opportunistic co-screening for HCV and COVID-19-related services: A creative response with a need for thoughtful reflection.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Article
  7. Implementation of HCV screening in the 1969-1989 birth-cohort undergoing COVID-19 vaccination.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrea Marcellusi *Economic Evaluation and HTA (EEHTA-CEIS), Centre for Economic and International Studies, Faculty of Economics, University of Rome "Tor Vergata", Rome, Italy.
Claudia Simonelli *Economic Evaluation and HTA (EEHTA-CEIS), Centre for Economic and International Studies, Faculty of Economics, University of Rome "Tor Vergata", Rome, Italy.
Francesco S MenniniEconomic Evaluation and HTA (EEHTA-CEIS), Centre for Economic and International Studies, Faculty of Economics, University of Rome "Tor Vergata", Rome, Italy.
Loreta A KondiliCenter for Global Health, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Rome, Italy. loreta.kondili@iss.it.
PITER Collaborating Group available at http://www.progettopiter.it

Funding

Italian Ministry of Health RF-2016-02364053
6 · The paper itself

Abstract

aimTo evaluate the cost-consequences of the investment for anti-hepatitis C virus (HCV) treatment by the Italian National Health System (NHS) for patients who will be newly diagnosed through active HCV screening, implemented in Italy from 2020.

methodsA previously published Markov model was used to estimate the disease complications avoided and the associated savings over 20 years to treat a standardised population of 10,000 HCV-infected patients diagnosed as a result of screening. Disease progression probabilities and fibrosis stage distribution were based on previously reported data in the literature. Real-life treatment effectiveness and medical expenses for disease management were estimated starting from a representative cohort of HCV-treated patients in Italy (Italian Platform for the Study of Viral Hepatitis Therapies). The breakeven point in time (BPT) was defined as the years required for the initial investment in treatment to be recovered in terms of cumulative costs saved.

resultsOver a 20-year time horizon, the treatment of 10,000 standardized patients diagnosed through active HCV screening results in 7769 avoided events of progression, which are associated with €838.73 million net savings accrued by the Italian NHS. The initial investment in treatment is recouped in 4.3 years in the form of savings from disease complications avoided.

conclusionInvestment in treatment of newly diagnosed patients will bring a significant reduction in disease complications, which is associated with great economic benefits. This type of action can reduce the infection rate as well as the clinical and economic disease burden of HCV in Italy.

Indexed as

HepacivirusHepatitis CAntiviral AgentsCost-Benefit AnalysisHumansItalyMass ScreeningProspective StudiesQuality-Adjusted Life YearsAntiviral Agents

Identifiers

PMID34636024
PMCPMC8752541

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.